| 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 |