| NPI | 1902109077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE BRYDON Supervisor 720-401-2340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CO 1399-10) |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2025-10-16 |