| NPI | 1316398167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNA LUCILLE FORD Licensed Professional Counselor 303-521-0731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 11836) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2016-06-23 |