| NPI | 1912386020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR H CORDERO Director 303-455-9480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 2272) |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2015-05-21 |