| NPI | 1851073803 |
|---|---|
| Doing Business As | LOGOS |
| Former Legal Business Name | LOGOS WILDERNESS THERAPY |
| Entity Type | Organization |
| Authorized Contact | CHELSEA VAN ESSEN Clinical Director 303-895-9295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 104100000X Social Worker | |
| Enumeration Date | 2023-08-01 |
| Last Update Date | 2023-08-01 |