| NPI | 1174748008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA ROBERTS Operations Manager 970-484-1735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 940) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2022-02-15 |