| NPI | 1558903971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA CHRISTINE EARLE Owner & Licensed Provider 720-987-0897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2022-06-20 |