| NPI | 1447739107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA S PIZZO Licensed Professional Counselor 970-823-2392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CO LPC.0014781) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO LPC.0014608) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0000943) | |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2018-08-13 |