NPI | 1245639228 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBORAH L WILLIAMSON Sole Member 719-337-4294 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09923611) |
Enumeration Date | 2014-08-15 |
Last Update Date | 2021-11-01 |