NPI | 1952177479 |
---|---|
Entity Type | Organization |
Authorized Contact | CHESTER DEANGELIS Clinical Services Director 719-495-3908 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
101YP2500X Counselor Professional | |
1041C0700X Social Worker Clinical | |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2023-11-27 |
Last Update Date | 2023-11-27 |