| NPI | 1306650387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON APRIL FRITCHMAN Owner/Member 970-835-9223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-02-01 |
| Last Update Date | 2025-02-03 |