| NPI | 1982482618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL GESELKOVICH Owner 303-905-9580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Enumeration Date | 2023-09-14 |
| Last Update Date | 2023-09-14 |