NPI | 1750102497 |
---|---|
Entity Type | Organization |
Authorized Contact | DAMOND DOTSON Billing Manager 970-576-1717 |
Organization Subpart ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2024-10-23 |
Last Update Date | 2024-10-23 |