NPI | 1740644590 |
---|---|
Entity Type | Organization |
Authorized Contact | DARCIA DESALVO Owner 303-726-4560 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC4585) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO NLC.0008685) |
Enumeration Date | 2016-04-07 |
Last Update Date | 2016-04-07 |