| NPI | 1376049429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA WITMAN Owner 719-377-7669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.00000942) |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2023-03-08 |