| NPI | 1770391088 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | STACEY HOFFMAN HIATT Clinical Direcotr 720-998-6276  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| Enumeration Date | 2024-12-19 | 
| Last Update Date | 2024-12-19 |