| NPI | 1073375275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE MARIE EVANS Director Of Operations 970-599-5395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-01-24 |
| Last Update Date | 2024-01-24 |