Organization Name: | ROBYN PETERS |
NPI Number: | 1154603819 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBYN PETERS (OWNER) |
Mailing Address: | 517 Big Thompson Ave Suite 120 Estes Park |
State: | CO US |
Postal Code: | 805179661 |
Phone Number: | 9705866400 |
Fax Number: | 9705866400 |
NPI Enumeration Date: | 09/19/2011 |
NPI Last Update Date: | 09/19/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | ACC-3175 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |