| NPI | 1902158850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER ARDEAN SWENSON Owner 970-522-0769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO LMFT 900) |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2012-10-02 |