NPI | 1043758964 |
---|---|
Entity Type | Organization |
Authorized Contact | CYNTHIA TANAKA Owner 719-588-6578 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 5724) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 5724) |
Enumeration Date | 2017-02-11 |
Last Update Date | 2017-02-11 |