NPI | 1437676608 |
---|---|
Entity Type | Organization |
Authorized Contact | AMY L ANNESLEY Sole Provider 720-419-4473 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09923137) |
Enumeration Date | 2017-08-28 |
Last Update Date | 2017-08-28 |