| NPI | 1497122527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL JOLENE GOLDFAINDAVIS Psychotherapist/Counselor 970-209-5933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO 0003118) |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2017-04-27 |