| NPI | 1598154908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE L EBERLE Sole Mbr 720-270-2074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW09923176) |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2015-01-22 |