| NPI | 1902407687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA THOMPSON Case Manager 720-457-4597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 251S00000X | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2020-11-08 |
| Last Update Date | 2020-12-23 |