| NPI | 1104072156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA ANN LITTON-FANNING Sole Member 970-207-1080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 991621) |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2008-08-11 |