| NPI | 1821222621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA DEL ROSARIO SPENCER License Clinical Social Worker 719-351-0727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2009-05-07 |