NPI | 1922606847 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTEN VAVREK Co Owner 720-530-7186 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2020-10-13 |
Last Update Date | 2020-10-13 |