NPI | 1649629114 |
---|---|
Entity Type | Organization |
Authorized Contact | JONATHAN WALLACH Mental Health Counselor 720-822-6795 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 0181511) |
Enumeration Date | 2016-06-06 |
Last Update Date | 2016-06-06 |