| NPI | 1689548364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA STAINBROOK Owner 970-978-8105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC0700X Psychologist, Clinical | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2025-10-03 |
| Last Update Date | 2025-10-03 |