| NPI | 1114381852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN-MARIE MANNING Sole Propieter 719-393-5673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09924307) |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2016-04-08 |