NPI | 1962821934 |
---|---|
Entity Type | Organization |
Authorized Contact | BRYCE MATHERN Owner 303-835-6886 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO NLC.0104032) |
Enumeration Date | 2014-04-07 |
Last Update Date | 2014-04-07 |