| NPI | 1063172336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA STAINBROOK Managing Partner 970-978-8105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 251S00000X |
| 101YM0800X Counselor, Mental Health | |
| 101Y00000X Counselor | |
| Enumeration Date | 2021-12-28 |
| Last Update Date | 2021-12-28 |