| NPI | 1013302074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLEEN MICHELLE BRYANT Clinical Therapist 970-986-8668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD 2182) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2024-02-20 |