| NPI | 1013775584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA KRAMER Owner 970-795-0209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2024-03-11 |