| NPI | 1174353742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA CASTLE-WALLER Owner 970-818-0566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-08-07 |
| Last Update Date | 2025-04-09 |