| NPI | 1124577523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA KARANINA STAINBROOK Owner 970-978-8105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 12898) |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2016-09-27 |