| NPI | 1558934349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTY WELLER Owner 720-210-9534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2021-07-20 |