| NPI | 1003137456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGERY H RUNYAN Owneer 970-946-0992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW8844) |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2025-10-08 |