| NPI | 1386505055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASPER JAMES WAITE Clinical Mental Health Therapist 970-443-9809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2025-11-20 |
| Last Update Date | 2025-11-20 |