| NPI | 1629577002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN BROCK Owner / Psychotherapist 720-232-0834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 11636) |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2024-07-10 |