| NPI | 1063129054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWEN BONILLA Clinic Director 720-218-5240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-10-31 |
| Last Update Date | 2023-01-06 |