| NPI | 1922741370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY KARINEN Clincian 720-660-3442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-04-14 |
| Last Update Date | 2022-05-27 |