| NPI | 1891267027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA KAY WURST Licensed Clinical Social Worker 303-325-4047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-12-28 |
| Last Update Date | 2018-12-28 |