| NPI | 1003036534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA H. HIRATZKA Director 970-518-5757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO NLC-6686) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |