| NPI | 1962008664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A GOFF Chief Financial Officer 303-432-5164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-12-08 |
| Last Update Date | 2020-12-08 |