| NPI | 1497516231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL W SCHELLENGER Business Manager 970-466-0646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-01-18 |
| Last Update Date | 2024-08-08 |