| NPI | 1134852858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH S REISEN Owner 720-727-7373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-07-09 |
| Last Update Date | 2022-08-02 |