EXTREME SPORTS CAMP is a counselor in Basalt, CO. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. EXTREME SPORTS CAMP NPI is 1669744637. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
23286 TWO RIVERS RD
SUITE 24-A
BASALT, CO
ZIP 81621-285
Phone: (970) 927-3143
The provider's authorized official is Sallie Bernard .
The authorized official title is Executive Director and has the following contact phone number (970) 927-0433.
The enumeration date for this NPI number is 2/6/2012 and was last updated on 2/6/2012.