| NPI | 1689823668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEANN GRACE HANSEN Owner 303-204-6635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 208U00000X Clinical Pharmacology | |
| 363AM0700X Physician Assistant Medical | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2024-11-14 |