| NPI | 1205580040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD LOBATO CEO 303-928-1051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry |
| Enumeration Date | 2022-02-10 |
| Last Update Date | 2025-06-17 |