| NPI | 1962001719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANA CONROY Director Of Credentialing 720-848-9111 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 261QE0002X Clinic/Center Emergency Care |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2024-08-19 |