| NPI | 1265967095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA A. RUSY Owner 970-361-2287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC 0013044) |
| Enumeration Date | 2017-04-30 |
| Last Update Date | 2017-04-30 |