| NPI | 1033964481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WHITTNEY JANAE ROMERO Owner/ Clinician 719-378-4847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2024-04-19 |
| Last Update Date | 2024-05-20 |