| NPI | 1508303132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIANA AVERY Owner 303-481-3451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CO RN.0189555) |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2017-01-20 |