| NPI | 1154847267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH DURHAM FLOYDE Owner/Operator 719-717-9009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09924005) |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2018-03-17 |