| NPI | 1568099588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA A HIGGINS CEO 970-682-8422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2022-05-02 |