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 |