| NPI | 1821586363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSANNAH M HORWITZ Member/Owner 720-600-4943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0012140) |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2019-08-09 |