| NPI | 1629217484 |
|---|---|
| Doing Business As | CENTENNIAL CENTER FOR HUMAN SERVICES |
| Entity Type | Organization |
| Authorized Contact | PAMELA A. GAYNOR Director, Clinical Psychologist 970-221-0581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO 292) |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2009-02-18 |