| NPI | 1538793682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ETHAN RIETEMA Owner 303-551-4615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2020-02-27 |