| NPI | 1124475132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY D. MULLER Co Fouinder 970-216-8723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO LPC0012779) |
| Additional Taxonomies | 225XP0019X Occupational Therapist Physical Rehabilitation (Licence: CO 8986) |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2016-05-19 |