| NPI | 1952122293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE TATUM Founder And Clinical Director 720-386-2858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-10-19 |
| Last Update Date | 2024-10-19 |