| NPI | 1962857805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE R DIAZ Owner Therapist 720-933-5512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CO 0011674) |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2016-04-28 |