| NPI | 1174415004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK KAUFMAN Manager 303-276-3995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-07-16 |
| Last Update Date | 2025-08-12 |