| NPI | 1003909334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN L COX President 719-528-2426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 1730) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 789) |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2017-02-06 |