| NPI | 1467992958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER KONIARCZYK Owner 720-295-8657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO LPC.0012659) |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2017-03-02 |