| NPI | 1679769665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE WILLIX Licensed Clinical Social Worker/Own 303-579-0860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CO 248) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2007-09-24 |