| NPI | 1598463960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN ELIZABETH WAAG Owner 720-432-0141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2023-02-15 |
| Last Update Date | 2023-02-15 |