NPI | 1083230221 |
---|---|
Entity Type | Organization |
Authorized Contact | SAMUEL KYLE DAVIS Owner/Therapist 970-773-5727 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2020-06-23 |
Last Update Date | 2020-06-23 |