| NPI | 1609467208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA CHAPMAN Licensed Clinical Social Worker 720-201-0035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2021-01-27 |
| Last Update Date | 2021-01-28 |