Organization Name: | EVANS ARMY COMMUNITY HOSPITAL |
NPI Number: | 1164496873 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VICTORIA LYNN PEARLSTEIN (SOCIAL WORKER) |
Mailing Address: | 1650 Cochrane Cir Usa Meddac, Evans Army Community Hospital/sws Ft Carson |
State: | CO US |
Postal Code: | 809134603 |
Phone Number: | 7195264585 |
Fax Number: | 7195260608 |
NPI Enumeration Date: | 02/17/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 989779 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |