| NPI | 1124721691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITRA LYNN LEBASTCHI Owner And Director 720-707-1383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-03-23 |
| Last Update Date | 2023-03-23 |