| NPI | 1932614401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODI WALTERS CEO 303-424-6078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO 77) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CO 3755) |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2022-12-05 |