| NPI | 1932649662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON SHANKLE CEO And Founder 720-975-4368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO NLC.0107047) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: CO LPCC.0013487) |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2017-02-28 |