| NPI | 1801119193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT J ABER Therapist 970-712-0249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 5081) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 6669) |
| Enumeration Date | 2010-03-01 |
| Last Update Date | 2010-03-01 |