| NPI | 1659017770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY STOKER Owner 970-980-8732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2022-05-11 |
| Last Update Date | 2024-06-24 |