NPI | 1629699400 |
---|---|
Entity Type | Organization |
Authorized Contact | MARSHA EVANS Owner 720-306-1383 |
Organization Subpart ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 251S00000X |
Enumeration Date | 2020-05-02 |
Last Update Date | 2024-04-04 |