| NPI | 1548769805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN LAVELLE Therapist 303-554-0357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CO 0011581) |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2018-02-01 |