| NPI | 1457392177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS CHARLES MUNNELL Owner 303-751-2710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 988016) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2020-08-22 |