| NPI | 1962940353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH L SCHMUCKAL Lcsw 719-671-0838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO CSW.00000723) |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2017-02-06 |