| NPI | 1497235139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY CALDWELL Owner 720-252-3437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 068.0134105) |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2018-08-21 |