| NPI | 1659619013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY SUSAN PERRY Sole Member 303-430-4136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 991505) |
| Enumeration Date | 2013-01-19 |
| Last Update Date | 2013-01-19 |