NPI | 1114318706 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL LEBOWITZ Sole Provider 720-443-0939 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO NLC.0103798) |
Enumeration Date | 2015-02-18 |
Last Update Date | 2015-02-18 |