| NPI | 1972010064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REMY LOEB-WILLER Clinic Manager 720-449-6676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-09-5794) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 0011628) |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2018-01-10 |