| NPI | 1871955690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY FARREL Owner 970-568-2905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO CSW.00001963) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CO CSW1963) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-03-31 |