| NPI | 1457014730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD ECCKER Owner 720-515-4143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2021-10-14 |
| Last Update Date | 2024-10-17 |