| NPI | 1902275209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANELLE JOHNSON Registered Psychotherapist 720-940-9299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CO Certificate NLC13409) |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2015-09-17 |