| NPI | 1770190464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN KNEEBONE Owner 970-462-7329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-09-26 |
| Last Update Date | 2023-01-21 |