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 |