| NPI | 1043006083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERYL LYNN SCHWARTZ Director 970-236-6295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2025-04-16 |
| Last Update Date | 2026-01-29 |