| NPI | 1740623560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH FRANCIS CRAMER CEO 970-310-5132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 3752) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: CO 3752) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CO 3752) | |
| 103TC1900X Psychologist, Counseling (Licence: CO 3752) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CO 3752) | |
| 103TF0000X Psychologist, Family (Licence: CO 3752) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: CO 3752) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: CO 3752) | |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2013-04-10 |