| NPI | 1952847444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE LOUISE JOHNSON Owner 970-266-2678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 989157) |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2022-03-23 |