NPI | 1821819236 |
---|---|
Entity Type | Organization |
Authorized Contact | BRITTNI FUDGE Ma, Lpc 303-868-4207 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-10-18 |
Last Update Date | 2024-10-18 |