| NPI | 1598431736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONDRA DOLORIS RANER Owner 970-545-9133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2021-08-28 |