NPI | 1083485650 |
---|---|
Doing Business As | WHITE BISON THERAPY |
Entity Type | Organization |
Authorized Contact | LORI LUND Owner 970-556-3798 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
261QM1300X Clinic/Center, Multi-Specialty | |
Enumeration Date | 2024-01-12 |
Last Update Date | 2024-01-12 |