| NPI | 1831532696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL THOMAS MCGRATH Owner 970-430-6397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 0012698) |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2013-04-11 |