Adult Youth Services | |
223 N Wahsatch Ave Ste 101 Colorado Springs CO 80903-3479 | |
(719) 442-1779 | |
(719) 442-0538 |
Full Name | Adult Youth Services |
---|---|
Speciality | Social Worker |
Location | 223 N Wahsatch Ave, Colorado Springs, Colorado |
Authorized Official Name and Position | Mary Gupton-johnson (OWNER/CEO) |
Authorized Official Contact | 7194421779 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Adult Youth Services 223 N Wahsatch Ave Ste 101 Colorado Springs CO 80903-3479 Ph: (719) 442-1779 | Adult Youth Services 223 N Wahsatch Ave Ste 101 Colorado Springs CO 80903-3479 Ph: (719) 442-1779 |
NPI Number | 1609233410 |
---|---|
Provider Enumeration Date | 01/25/2016 |
Last Update Date | 01/25/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609233410 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
104100000X | Social Worker | (* (Not Available)) | Primary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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