| NPI | 1962036731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA WHITE Owner 970-829-8568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2022-05-20 |