| NPI | 1053602516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND HENRY TESKE President 303-756-6110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 980014) |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2011-05-02 |