| NPI | 1164496873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA LYNN PEARLSTEIN Social Worker 719-526-5332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 989779) |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2020-08-22 |