| NPI | 1932795432 |
|---|---|
| Other Name | SECOND STREET |
| Doing Business As | WELLPOWER |
| Entity Type | Organization |
| Authorized Contact | ROBERT CARL CLARK President & CEO 303-504-6500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2020-12-18 |
| Last Update Date | 2023-01-24 |