NPI | 1063868263 |
---|---|
Entity Type | Organization |
Authorized Contact | REGAN YOUNG Owner/Psychotherapist 719-948-7120 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: CO psy3290) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CO psy3290) |
Enumeration Date | 2016-05-06 |
Last Update Date | 2016-05-06 |