| NPI | 1356136642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA KINMAN Licensed Clinical Social Worker 970-258-0220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-04-09 |
| Last Update Date | 2026-03-16 |