| NPI | 1669123766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEELEE K. BURTCH Director 303-493-1483 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-01-11 |
| Last Update Date | 2022-01-11 |