| NPI | 1235627035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN JASON SCHLEGEL Director 303-250-1327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 0011612) |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2023-07-12 |