| NPI | 1215525753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE TALBOTT Chief Executive Officer 719-641-6723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2021-01-08 |
| Last Update Date | 2021-01-08 |