NPI | 1255737581 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK R. M. DICKMANN Psychotherapist 970-259-5711 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 1741) |
Enumeration Date | 2014-11-13 |
Last Update Date | 2014-11-13 |