| NPI | 1962801787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANA NICOLE ISAACSON Owner/Counselor 720-432-5262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 1434) |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2014-08-18 |