| NPI | 1457851925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREYJA MAY Registered Agent 970-624-9807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09925190) |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2018-02-20 |