| NPI | 1356855928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE MATHON Owner 720-507-6725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC0014123) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO LPC0014123) |
| 101YM0800X Counselor, Mental Health (Licence: CO LPC0014123) | |
| Enumeration Date | 2017-11-19 |
| Last Update Date | 2018-03-17 |