NPI | 1275088098 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL KERMIT EVANS Counselor/Owner 303-358-7902 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 4031) |
Enumeration Date | 2016-08-22 |
Last Update Date | 2016-08-22 |