| NPI | 1477314516 |
|---|---|
| Former Legal Business Name | SAGEBRUSH COUNSELING |
| Entity Type | Organization |
| Authorized Contact | DAMOND DOTSON Billing Manager 970-576-1717 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-01-16 |
| Last Update Date | 2024-01-16 |