NPI | 1841678836 |
---|---|
Doing Business As | SHINE INTEGRATED THERAPY |
Entity Type | Organization |
Authorized Contact | ELIZABETH ANNE CLARK Therapist 303-455-2409 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 992361) |
Enumeration Date | 2015-05-11 |
Last Update Date | 2015-05-11 |