| NPI | 1225481757 |
|---|---|
| Former Legal Business Name | COLORADO TEEN THERAPY |
| Entity Type | Organization |
| Authorized Contact | CHERYL SOMERS-WEGIENKA Owner 720-441-3714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0012705) |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2022-05-26 |