| NPI | 1942808712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGET M BLASIUS Licensed Professional Counselor 303-995-8512 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2020-10-14 |