| NPI | 1033874995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELIZABETH SWANSON Manager/Member 970-581-5155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-11-05 |
| Last Update Date | 2022-09-09 |