NPI | 1972777142 |
---|---|
Entity Type | Organization |
Authorized Contact | GLENN E NIEBLING Clinical Director 303-692-8355 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 94) |
Enumeration Date | 2008-04-17 |
Last Update Date | 2012-03-14 |