| NPI | 1962169771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYCE GIVENS Director 720-300-3861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2021-11-29 |
| Last Update Date | 2023-05-25 |