| 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 |