| NPI | 1912386335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WILKINSON Owner 970-403-5054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 0012445) |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2015-05-19 |