| NPI | 1487263943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILAGROS SARMIENTO-SHOEMAKER Licensed Profesional Counselor 970-409-0899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2020-07-29 |