NPI | 1114207529 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIN JACKLIN Owner, Clinical Director 720-675-7123 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 5947) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CO 11386) |
Enumeration Date | 2011-08-17 |
Last Update Date | 2012-03-14 |