| NPI | 1902418965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL JOHN BONNETT Medical Director 303-535-7548 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 208D00000X General Practice |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QP3300X Clinic/Center Pain | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2025-08-18 |