| NPI | 1720897424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY WAYNE BEAVER Owner 303-416-0195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2025-01-06 |
| Last Update Date | 2025-01-06 |