| NPI | 1962256230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARIN ROSWITHA GERTNER Counselor 970-867-8986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2024-04-15 |