| NPI | 1891936308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN H SHIELDS Co Owner 303720-581-9890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO 991522) |
| Enumeration Date | 2009-03-12 |
| Last Update Date | 2009-03-12 |