| NPI | 1033662093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA J CHANEY Sole Member Owner 720-235-5393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924296) |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2023-06-29 |