| NPI | 1346513884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIAN DELIA AVOY Owner 719-310-0247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 991890) |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2012-02-14 |