NPI | 1972187508 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIN MARTIN Data Operations Coordinator 303-780-9191 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2021-05-10 |
Last Update Date | 2021-05-10 |