| NPI | 1073916367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN M MACK Owner/ Counselor 720-245-3396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 12102) |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2014-10-01 |