Organization
FOSTER SOURCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHRYN S SMITH LCSW (CLINICAL DIRECTOR)
(720) 979-9033
Entity
Organization
Contact information
Practice address
11860 PECOS ST RM 1131, WESTMINSTER, CO 80234-2740
(303) 618-4331
Mailing address
3879 E 120TH AVE # 218, THORNTON, CO 80233-1658
(303) 618-4331
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/05/2024
Last updated
08/15/2024
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