| NPI | 1295500049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA IVANNA MARTINEZ Therapist 970-299-9183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2023-11-21 |
| Last Update Date | 2023-11-21 |