| NPI | 1902131832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILL BLEAU Owner 303-989-2129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CO LPC4183) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO LPC4183) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CO LPC4183) | |
| 101YP1600X Counselor Pastoral (Licence: FL BL74800B) | |
| 101YP2500X Counselor Professional (Licence: CO LPC4183) | |
| 103K00000X Behavior Analyst (Licence: CO LPC4183) | |
| Enumeration Date | 2009-10-09 |
| Last Update Date | 2009-10-09 |