| NPI | 1225576481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLEY ANNE JOHNS Counselor 970-481-7175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO LPCC.0015174) |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2017-02-08 |