| NPI | 1821741745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSTIN MAX MANCINI Owner/ Psychotherapist 970-309-4732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-01-31 |
| Last Update Date | 2022-01-31 |