| NPI | 1740631779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA AMOS Owner 970-778-4360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0012028) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO Acc.000726) |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2020-08-11 |