| NPI | 1568668341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA K HOLLAND President 970-874-0875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO 1490) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 3712) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2016-05-06 |