| NPI | 1730506387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY SHURTLEFF HARTMAN Authorization Officer 719-465-9357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 991629) |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2014-03-20 |