NPI | 1578064291 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTINE JACKSON COLE Clinician/Owner 720-619-0838 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924067) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2018-02-27 |
Last Update Date | 2018-02-27 |