| NPI | 1942144811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YEVGENIY SHVEDOV Director 720-989-0025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2026-04-20 |
| Last Update Date | 2026-04-20 |