| NPI | 1386134112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | POLLY SIKORA Owner/Provider 970-759-7328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0005583) |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2018-05-17 |