| NPI | 1649575325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOLEDAD HERRERA Medicaid Program Manager 720-772-7397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 985069) |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2024-11-27 |