| NPI | 1013288661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLIE ANNETTE HARPER Administrator Of Clinical Services 719-963-0428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 5274) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 1184) |
| 1041C0700X Social Worker, Clinical (Licence: CO 255) | |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2012-01-13 |