| NPI | 1992351969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RILEY COCHRAN Sole Member/Manager 303-335-6098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2019-08-14 |