| NPI | 1578920690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLENE BECKY AVERY Owner 719-331-7445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 1842) |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2016-03-31 |