| NPI | 1922473230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM MONROE Director 303-546-3589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 992889) |
| Enumeration Date | 2015-12-11 |
| Last Update Date | 2024-07-29 |