| NPI | 1447656442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER NEWMAN Counselor 719-650-8991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WV DP00943753) |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2016-03-08 |