| NPI | 1841865714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA RADDATZ Owner 303-717-8094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2021-05-24 |
| Last Update Date | 2024-04-08 |