| NPI | 1730750449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW TIS Owner/Clinical Director/Therapist 303-578-9749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2021-07-03 |
| Last Update Date | 2021-07-03 |