NPI | 1821893132 |
---|---|
Entity Type | Organization |
Authorized Contact | JESS JOSLIN Manager, Credentialing 303-731-8164 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2025-02-19 |
Last Update Date | 2025-02-19 |