NPI | 1962235002 |
---|---|
Entity Type | Organization |
Authorized Contact | MARINA CHARARA Administrator 720-762-5284 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 261QM2800X Clinic/Center Methadone |
261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
Enumeration Date | 2024-08-23 |
Last Update Date | 2024-08-23 |