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 |