| NPI | 1356643969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE C. WITHROW Office Manager 970-241-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 5607) |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2010-12-02 |