| NPI | 1932596889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE LANZA Program Sponsor 303-953-2299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2020-04-21 |