| 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 |