| NPI | 1154450740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET VICTORIA CANNON Member 970-249-4757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 429) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2020-08-22 |