| NPI | 1760999684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WHITNEY SUNDQUIST JOSE Owner 303-393-0085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 101YP2500X Counselor, Professional | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2017-12-30 |
| Last Update Date | 2019-01-17 |