| NPI | 1396452595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA LOUISE HEBB Owner 303-704-8046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2022-10-28 |
| Last Update Date | 2022-12-02 |