| NPI | 1619483732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELIZABETH SWANSON Owner 970-581-5155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 00992313) |
| Enumeration Date | 2017-12-27 |
| Last Update Date | 2017-12-27 |