Genesis- Prevent Protect Provide
NPI #1184323636 in Westcliffe, Colorado
Provider Information
- NPI Number
- 1184323636
- Entity Type
- Organization
- Organization Name
- Genesis- Prevent Protect Provide
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Feb 23, 2023
- Last Updated
- Feb 23, 2023
Practice Location
- Address
- 379 CHALICE RD.
- City
- Westcliffe
- State
- Colorado
- ZIP Code
- 81252
- Phone
- (719) 371-2472
Authorized Official
- Name
- FAWNDA NEWTON, MSW
- Title
- EXECUTIVE DIRECTOR
- Phone
- (719) 371-2472
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
| Social Worker - Clinical — Clinical |
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