| NPI | 1053868687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP HORNER Lcsw 720-316-7774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CO #CSW.09923711) |
| 101YM0800X Counselor Mental Health | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2022-12-21 |