| NPI | 1700114584 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ELIZABETH ANN OLSON Licensed Clinical Social Worker 303-545-9392  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 992389)  | 
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO LPC2223)  | 
| 101YP2500X Counselor, Professional (Licence: CO 6504)  | |
| Enumeration Date | 2009-12-07 | 
| Last Update Date | 2009-12-07 |