| NPI | 1508099292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT S STARK President 970-945-7858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2012-08-27 |