| NPI | 1730711474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE BAGWELL Licensed Clinical Psychologist 720-507-7686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2026-05-29 |