| NPI | 1063279503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA HUDGINS Owner 303-501-4194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2024-03-01 |
| Last Update Date | 2024-03-08 |