| NPI | 1598136921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHELLE WALKER Psychologist 970-231-6950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 1238) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: CO PSY.00004283) |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2015-10-12 |