| NPI | 1912557562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD CARL MALONE Doctor Of Natural Medicine 970-829-1110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2019-09-16 |