NPI | 1760162135 |
---|---|
Entity Type | Organization |
Authorized Contact | HEATHER ORR Onwer 719-354-5378 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103TC0700X Psychologist, Clinical | |
Enumeration Date | 2023-07-20 |
Last Update Date | 2023-10-04 |