| NPI | 1982588406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY HARRIS-EAVES Licensed Clinical Social Worker 719-460-6513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-08-05 |
| Last Update Date | 2025-08-19 |