| NPI | 1932856069 |
|---|---|
| Doing Business As | OUT BOULDER COUNTY |
| Entity Type | Organization |
| Authorized Contact | TAMORA TANNIEHILL Mental Health Program Manager 303-499-5777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-03-08 |
| Last Update Date | 2022-07-05 |