NPI | 1972771830 |
---|---|
Entity Type | Organization |
Authorized Contact | JUDITH H. SPENDELOW Registered Agent 303-777-5058 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 2467) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO 2467) |
Enumeration Date | 2008-02-13 |
Last Update Date | 2012-09-28 |