| NPI | 1891524856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA BRYDEN Owner 970-568-6085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2024-09-25 |