| NPI | 1568948776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER MILLER Clinical Psychologist 970-462-7206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2018-07-23 |