| NPI | 1992173108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER WAYNE COONS Business Owner 303-623-4623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 1526-01) |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2015-09-03 |