| NPI | 1144658923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA PETERSON Owner 720-722-1577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 5284) |
| Enumeration Date | 2013-10-14 |
| Last Update Date | 2022-08-05 |