| NPI | 1578804068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE GRANT Sole Mbr 303-818-0912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO LPC 11354) |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2013-03-07 |