| NPI | 1326588427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE PELLETIER Owner/Therapist 970-599-1163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09923836) |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2017-03-08 |