| NPI | 1891404075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAWNIA SUE WHITE Case Manger/Group Facilitator 303-903-6513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2022-11-16 |
| Last Update Date | 2022-11-16 |