| 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 |