| NPI | 1770960189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA J BONHAM Psychotherapist 303-880-7793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 001279) |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2021-10-19 |