| NPI | 1548613433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELINA CORDOVA Owner 720-488-0878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 880) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 6435) |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2016-07-15 |