| NPI | 1629223292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTA MARTINEZ-EVANS Program Director 970-259-6588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CO 1417-00) |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2008-11-24 |