| NPI | 1710374640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLA M MADRID Owner 303-644-4240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO CSW00001915) |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2023-01-24 |