| 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 |