| NPI | 1750813697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA BRUSKI Licensed Professional Counselor 720-971-6010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CO LPC.0012813) |
| Additional Taxonomies | 305R00000X Preferred Provider Organization (Licence: CO LPC.0012813) |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2017-03-30 |