| NPI | 1326456203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY GUSTAFSON Owner/Manager 720-660-2230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC 5999) |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2017-10-13 |