| NPI | 1811587199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAIA LONGENECKER Executive Director 720-295-7548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2021-01-21 |
| Last Update Date | 2023-06-12 |