| NPI | 1780455956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODI WALTERS CEO 303-424-6078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2024-01-15 |
| Last Update Date | 2024-01-15 |