| NPI | 1598509077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE LYNN SHEWMAKE Licensed Clinical Social Worker 720-217-1729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Enumeration Date | 2024-06-20 |
| Last Update Date | 2024-06-20 |