NPI | 1447625223 |
---|---|
Entity Type | Organization |
Authorized Contact | AMY L YOUNG Owner 970-381-8405 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO LPC.0012740) |
Enumeration Date | 2015-12-05 |
Last Update Date | 2015-12-05 |