| NPI | 1194604058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXZIS VAZQUEZ Licensed Professional Counselor 970-433-3456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-08-27 |
| Last Update Date | 2025-08-27 |