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 |