| NPI | 1063949923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA HANSEN Owner 720-460-0417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2017-05-22 |