| NPI | 1831754423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN L MALONE Therapist 970-216-0108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2019-05-08 |