| NPI | 1952767931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN M HAWKINS Owner/Provider 720-608-0174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2020-03-04 |