| NPI | 1184584112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY EARLE ANDERSON Owner 720-248-8048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-11-12 |
| Last Update Date | 2025-11-12 |