| NPI | 1164802088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI C JOHNSON Sole Member 303-522-7975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 12814) |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2015-07-31 |