| NPI | 1891471181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA NITALEE MEDSKER LACKEY Therapist, Owner 720-593-8794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-06-22 |
| Last Update Date | 2023-06-22 |