| NPI | 1922318351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE L CERRETA-KESSIE Owner 303-503-5225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO LPC3013) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2022-01-11 |