| NPI | 1508603465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAYDEN JOSEPH AHLBRANDT Owner 970-631-7848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2024-07-09 |
| Last Update Date | 2024-07-09 |