| NPI | 1568269678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA LEE HUBBARD Licensed Clinical Social Worker 970-814-4640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2025-02-26 |
| Last Update Date | 2025-02-26 |