| NPI | 1780100537 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | CHARITY GRIMSLEY-HINKLEY Owner/Provider 720-295-4852  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO lpc.0011143)  | 
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO acd.0000291)  | 
| Enumeration Date | 2017-08-14 | 
| Last Update Date | 2018-05-11 |