| NPI | 1588183214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA L MONTGOMERY Owner 970-218-9341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924178) |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2024-07-19 |