| NPI | 1073313029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA BEAN Owner 970-318-8189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2025-03-18 |
| Last Update Date | 2026-04-17 |