| NPI | 1689912388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA D FREEMAN M.A. 970-903-0465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CO 176205) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 8507) |
| Enumeration Date | 2013-01-30 |
| Last Update Date | 2013-01-30 |