| NPI | 1841951597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN JACKLIN Interim Executive Director 720-272-1533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 103T00000X Psychologist |
| 101YM0800X Counselor, Mental Health | |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2022-11-07 |