| NPI | 1548929003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNA LEE DIETZ Owner 720-734-4411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2021-12-13 |
| Last Update Date | 2024-06-07 |