| NPI | 1477163319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAE MACINTIRE Owner/ Psychologist 970-609-9810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 103T00000X Psychologist |
| 106H00000X Marriage & Family Therapist | |
| 251S00000X Community/Behavioral Health | |
| 101YP2500X Counselor Professional | |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2023-02-25 |