| NPI | 1407684756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN JEROME WASHINGTON Therapist 720-333-5289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-07-26 |
| Last Update Date | 2024-08-27 |