| NPI | 1598272841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA KNUDSEN Clincial Director And Owner 720-201-1524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 776) |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2018-01-09 |