NPI | 1073971685 |
---|---|
Entity Type | Organization |
Authorized Contact | HARRIS ROBERT JENSEN Owner 970-217-3370 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2016-02-10 |
Last Update Date | 2016-02-10 |