NPI | 1558875591 |
---|---|
Entity Type | Organization |
Authorized Contact | JENELL EFFINGER Owner 720-390-6932 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: CO PSY.0004384) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2017-11-29 |
Last Update Date | 2021-11-18 |