| NPI | 1689012569 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ADELINE D ARMIJO Owner/Provider 719-561-9084  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 989979)  | 
| Enumeration Date | 2013-06-12 | 
| Last Update Date | 2013-06-12 |