| NPI | 1053782334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY GILLESPIE Owner/ Counselor 719-695-0131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO NLC.0103641) |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2015-12-01 |