| NPI | 1750103404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSIE THOMAS Owner 970-660-8048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-10-24 |
| Last Update Date | 2024-10-24 |