NPI | 1265183289 |
---|---|
Entity Type | Organization |
Authorized Contact | KARA KNOX Counselor 303-957-6097 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
Enumeration Date | 2022-01-11 |
Last Update Date | 2022-01-11 |