| NPI | 1346967114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA CHOUDHARY-GRIGLEY Therapist 970-433-1584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2022-10-24 |
| Last Update Date | 2022-10-25 |