| NPI | 1710647581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISHIA M.L. OLIVA Medical Director 720-464-1610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2021-12-21 |
| Last Update Date | 2025-10-27 |