| NPI | 1568298164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA BLANCO Licensed Professional Counselor 720-980-6866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-09-10 |
| Last Update Date | 2024-09-10 |