| NPI | 1972911980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWNA MARIE MARGESSON Therapist 303-870-0743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO NLC. 0103518) |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2014-07-23 |