| NPI | 1558129569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE ONEILL Billing Manager 303-993-5651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2024-03-13 |
| Last Update Date | 2024-03-13 |