| NPI | 1700646452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICAELA AVILES Licensed Professional Counselor 720-306-1112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-03-20 |
| Last Update Date | 2024-03-20 |