| NPI | 1821763129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN MICHAEL CRAWFORD Owner / Sole Member 970-371-8683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2021-08-10 |
| Last Update Date | 2021-08-10 |