| NPI | 1548635980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID EDWARD ROSE Psychotherpaist 303-659-3639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 119652015) |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2015-12-10 |