| NPI | 1215334503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA BOBBY Clinical Supervisor 720-208-6806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0011953) |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2014-12-02 |