| NPI | 1528605524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY VOVILLIA CEO 303-847-9172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2019-12-09 |