| NPI | 1851874515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE M MARTINEZ-EPPERSON Licensed Clinical Social Worker 719-394-8797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09923654) |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2019-02-18 |