| NPI | 1164433603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY SHIELDS GOODHUE Clinical Director 720-941-6428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 991522) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2020-08-22 |