NPI | 1558683458 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT S STARK President 970-945-7858 |
Organization Subpart ? | No |
Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YM0800X Counselor, Mental Health | |
103TP2701X Psychologist, Group Psychotherapy | |
Enumeration Date | 2010-02-18 |
Last Update Date | 2010-02-18 |