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Social Worker in Colorado Springs, CO. Organization (NPI-2).

NPI number1982242970
StatusActive
Last updated in NPPESDec 20, 2019

Details

NPI
1982242970
Entity type
Organization (NPI-2)
Legal business name
Mission Possible
Organization subpart
No
Enumeration date
Dec 20, 2019
Certification date
Dec 20, 2019
Last updated
Dec 20, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker––Yes

Practice location

1520 N Union Blvd Ste 204
Colorado Springs, CO 80909-2840

Phone 719-635-9100

Mailing address

Po Box 9100
Colorado Springs, CO 80932-0100

Authorized official

Palmer Johnson
Lcsw
7194929100

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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