| NPI | 1730613894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA MARIS FOUNTAIN JENNINGS Owner/Clinician 720-355-4082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 4125) |
| Enumeration Date | 2017-04-16 |
| Last Update Date | 2024-01-22 |