| NPI | 1598012064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFONSO CASTILLO Director/Owner 303-934-3040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 4790) |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2012-08-14 |