| NPI | 1265907661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORRIE ELIZABETH VAN HORNE Co Owner 303-709-2404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 133V00000X Dietitian, Registered | |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2021-11-16 |