OrganizationActive
Adult Youth Services
NPI 1609233410 · Social Worker · Colorado Springs, CO
Provider details
- NPI number
- 1609233410
- Entity type
- Organization
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Mary Gupton-Johnson, Owner/Ceo(719) 442-1779
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
Practice location
223 N Wahsatch Ave
Ste 101
Colorado Springs, CO 80903-3479
Phone: (719) 442-1779
Fax: (719) 442-0538
Approximate (ZIP-level) locationGet directions
Mailing address
223 N Wahsatch Ave
Colorado Springs, CO 80903-3479
Registry dates
- Enumerated
- 2016-01-25
- Last updated
- 2016-01-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.