| NPI | 1992252290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH DAVID LONG Licensed Professional Counselor 303-750-5435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0003080) |
| Enumeration Date | 2016-09-02 |
| Last Update Date | 2016-09-21 |