| NPI | 1578189791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF BAILEY Owner 720-548-7077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2020-06-23 |