| NPI | 1275134728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP ADAM POTTER Owner 720-772-7334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101Y00000X Counselor |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2020-11-02 |