NPI | 1922240076 |
---|---|
Entity Type | Organization |
Authorized Contact | REO LESLIE Director 720-859-0464 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 20041450283) |
Enumeration Date | 2009-04-02 |
Last Update Date | 2009-04-02 |