| NPI | 1306649884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA JOHNSON Owner 303-775-0065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2025-03-31 |
| Last Update Date | 2025-03-31 |