| NPI | 1942026596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK WHITNEY Co Owner 720-301-2829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 171M00000X Case Manager/Care Coordinator | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2024-11-27 |
| Last Update Date | 2024-12-11 |