| NPI | 1306113170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY KENLINE Clinical Social Worker 720-495-7741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 1453) |
| Enumeration Date | 2011-11-22 |
| Last Update Date | 2011-11-22 |