| NPI | 1083123061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDY MARTIN Owner 303-218-5259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 0013606) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CO 0013606) |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2017-09-22 |