| NPI | 1912162751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHYLLIS M RADNEY Administrator 303-307-8855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 1630-01) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2008-07-22 |