| NPI | 1578064291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE JACKSON COLE Clinician/Owner 720-619-0838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924067) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2018-02-27 |