| NPI | 1699569376 |
|---|---|
| Doing Business As | MENTAL HEALTH THERAPIST |
| Entity Type | Organization |
| Authorized Contact | SHAYLA SANFORD Owner 970-744-8629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-04-07 |
| Last Update Date | 2025-04-07 |