| NPI | 1386843647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK CHANDLER BEAL Clinical Director 719-338-3537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO LCSW) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2013-07-21 |