| NPI | 1942536396 |
|---|---|
| Doing Business As | PROFILE EAP |
| Entity Type | Organization |
| Authorized Contact | SUE GARCIA Clinical Services Network Coordinat 719-634-1825 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X (Licence: CO 3794) |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2009-10-20 |