| NPI | 1558557843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA STEVE SUTHERLAND Clinical Psychologist 970-587-8929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 2716) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2022-11-08 |