| NPI | 1720522626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN M BOMBERG Owner/Practictioner 720-442-4506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 993043) |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2016-12-12 |