| NPI | 1689124315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAISSA ESCHILETTI PRATI Psychologist 970-889-4862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CO PSY.0004455) |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2017-04-20 |