| NPI | 1992035489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIENNE ELISE BOX Sole Proprietor 970-302-1471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 992996) |
| Enumeration Date | 2010-01-05 |
| Last Update Date | 2010-01-05 |