| NPI | 1841503323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD L VANDENBERGH Owner/President 303-758-3188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 15692) |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2010-07-26 |