| NPI | 1659794477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA PENDLETON Clinical Director 970-493-4580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 9923938) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 12332) |
| 106H00000X Marriage & Family Therapist (Licence: CO 974) | |
| 106H00000X Marriage & Family Therapist (Licence: CO 983) | |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2025-05-30 |