| NPI | 1992230353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WHITNEY DITTMAR Therapist 303-794-3816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 0005644) |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2017-04-24 |