| NPI | 1619455300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN HICK Licensed Psychologist, Director 720-644-6698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CO PSY3606) |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2018-08-03 |