| NPI | 1598391278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON J CRUM Owner 720-474-3076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2020-03-13 |
| Last Update Date | 2021-04-21 |