| NPI | 1700421955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY OTTINGER MASSALE Owner 720-923-3033 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2022-08-18 |