| NPI | 1053290270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY SMITH FAUST Clinical Director/Therapist 719-470-0191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2025-09-01 |
| Last Update Date | 2025-09-01 |