| NPI | 1902196520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE HABERER Billing Person 303-487-4943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 977011) |
| Enumeration Date | 2011-04-16 |
| Last Update Date | 2011-04-16 |