| NPI | 1003053711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA ANNE HERLITZKA CEO 303-679-2649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 735) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 125) |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2009-01-16 |