| NPI | 1740992189 |
|---|---|
| Doing Business As | GRACE ROOTS COUNSELING |
| Entity Type | Organization |
| Authorized Contact | KATHERINE KHRESTSOV Owner 303-997-1459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-12-16 |
| Last Update Date | 2022-12-16 |