NPI | 1588110274 |
---|---|
Entity Type | Organization |
Authorized Contact | MARCIA MCCONNELL RANCH President 970-223-0356 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0001564) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.00989175) |
Enumeration Date | 2016-09-01 |
Last Update Date | 2016-09-01 |