| NPI | 1811279573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT SHANNON President 970-221-1106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CO 31090) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 31090) |
| 103T00000X Psychologist (Licence: CO 31090) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CO 31090) | |
| 1041C0700X Social Worker, Clinical (Licence: CO 31090) | |
| 106H00000X Marriage & Family Therapist (Licence: CO 31090) | |
| 133N00000X Nutritionist (Licence: CO 31090) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CO 990045) | |
| 171100000X Acupuncturist (Licence: CO 31090) | |
| 174H00000X Health Educator (Licence: CO 31090) | |
| 175F00000X Naturopath (Licence: CO 31090) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO 31090) | |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: CO 990045) | |
| Enumeration Date | 2011-09-19 |
| Last Update Date | 2011-09-20 |