| NPI | 1962658401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENE GROSS Clinical Social Worker 303-868-7897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 554) |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2008-08-15 |