NPI | 1942601976 |
---|---|
Entity Type | Organization |
Authorized Contact | KYLE MATTHEW LUCAS Therapist 720-237-7155 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0005903) |
Enumeration Date | 2014-09-09 |
Last Update Date | 2018-10-09 |