| NPI | 1962114249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN OBERLE Director Of Fiscal Services 970-244-0402 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2022-12-19 |
| Last Update Date | 2022-12-19 |