| NPI | 1205698685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA VICTORIA CEVALLOS Social Worker/Clinical 719-660-8198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-01-30 |
| Last Update Date | 2024-02-12 |