| NPI | 1447644646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI SHAUNA MARTINEZ Therapist Owner 720-454-0724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CO 187433) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2015-03-25 |