NPI | 1558505503 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTIAN THOMAS President And CEO 970-644-3011 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 101YP2500X Counselor Professional |
Enumeration Date | 2009-04-21 |
Last Update Date | 2024-11-14 |