| NPI | 1376215418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADISON DALE Owner, Clinician 303-884-5636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2021-09-28 |