| NPI | 1750788758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MARIE VANHOVE Owner 719-431-9050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09923502) |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2022-07-21 |