| NPI | 1699274613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSAY MARIE ISHMAN Clinician 970-389-8807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 2057) |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2018-03-17 |