| NPI | 1568913432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE CHRASTIL Owner 303-669-0893 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC0011936) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO LPC0012890) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |