| NPI | 1477302156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAYE N KOUIMELIS CEO/Psychologist 720-500-6026 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 225XM0800X Occupational Therapist, Mental Health |
| Enumeration Date | 2024-05-15 |
| Last Update Date | 2024-12-25 |