| NPI | 1598448177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA STANDIG Owner 720-336-0364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-08-09 |
| Last Update Date | 2023-08-09 |