NPI | 1871318030 |
---|---|
Entity Type | Organization |
Authorized Contact | KEITH LARSON CFO/Cbo 720-707-6542 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-11-21 |
Last Update Date | 2024-11-21 |