| NPI | 1659575637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA GAIL RICKEY Behavioral Support Consultant 970-946-0604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NM 2695) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2008-07-08 |