| NPI | 1609233410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY GUPTON-JOHNSON Owner/CEO 719-442-1779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2016-01-25 |