| NPI | 1013771666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEDRI LADEWIG Director Of Non Residential Service 303-577-7925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 103TC1900X Psychologist Counseling |
| Enumeration Date | 2024-02-13 |
| Last Update Date | 2024-02-13 |