NPI | 1154721884 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID DURTSCHI CEO 720-648-1541 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO NLC.0104239) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CO NLC.0104239) |
Enumeration Date | 2014-08-29 |
Last Update Date | 2024-07-15 |