| NPI | 1508275314 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ABBY L PETERFESO Owner/ Therapist 970-222-8586  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0006045)  | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09923473)  | 
| Enumeration Date | 2014-08-06 | 
| Last Update Date | 2014-08-06 |