| NPI | 1982031555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY ANN FOSTER Owner 970-817-3426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0005433) |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2021-01-12 |