| NPI | 1023394434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANETTE SUSAN BARZEE Sole Member 719-474-9343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 993079) |
| Enumeration Date | 2011-10-30 |
| Last Update Date | 2011-10-30 |