| NPI | 1174880314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSANNE GAYE VILLARREAL Therapist 970-304-9520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 13766) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2012-04-12 |