NPI | 1063807063 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL R BURGE Psychotherapist 720-933-6410 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO NLC.0105234) |
Enumeration Date | 2015-04-06 |
Last Update Date | 2016-01-21 |