| NPI | 1184206906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANIECE SCHLEICHER Owner 970-556-4854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251S00000X | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2021-07-14 |