| NPI | 1003057555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESITA MARIE TIRONA Owner 719-761-1655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC4450) |
| Enumeration Date | 2009-03-13 |
| Last Update Date | 2009-03-13 |