| NPI | 1982254660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLI HENDERSON Owner 303-921-2771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2019-09-16 |