| 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 |