| NPI | 1912723594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOLEDAD HERRERA Medicaid Program Manager 720-772-7397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-11-27 |
| Last Update Date | 2024-11-27 |