| NPI | 1992182299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK J MOONEY CEO 720-460-0872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 5399) |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2022-07-21 |