| NPI | 1235791286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT KENNEDY Owner, Co Director 303-632-8883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TF0000X Psychologist, Family | |
| Enumeration Date | 2019-06-30 |
| Last Update Date | 2019-06-30 |