| NPI | 1164253704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVIN MARIE PINKSTON AO 970-644-2392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2024-08-13 |
| Last Update Date | 2024-08-13 |