| NPI | 1144777525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA SHENKIN Sole Member 970-250-3149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.00989515) |
| Enumeration Date | 2016-09-02 |
| Last Update Date | 2016-09-02 |