| NPI | 1174983837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE TED GOMEZ Owner/Psychotherapist 303-478-0522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 0012368) |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2016-02-24 |