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 | 106H00000X Marriage & Family Therapist (Licence: CO 974) |
106H00000X Marriage & Family Therapist (Licence: CO 983) | |
101YP2500X Counselor, Professional (Licence: CO 12332) | |
Enumeration Date | 2014-01-30 |
Last Update Date | 2015-09-08 |