| NPI | 1245639491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA P BUETTEL Director/Licensed Psychologist 970-867-0998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CO 1654182) |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2014-08-13 |