| NPI | 1730584392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER L DANIEL Owner 303-990-0668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO LPCC.0014024) |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2014-10-24 |