| NPI | 1376219055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA RADDATZ Owner/Private Practioner 303-717-8094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2021-08-21 |
| Last Update Date | 2021-08-21 |