| NPI | 1356624969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS KEITH PRATT Owner 303-665-5829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO 986064) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2011-09-21 |