NPI | 1104675826 |
---|---|
Entity Type | Organization |
Authorized Contact | RICK DETTLING Executive Director 719-392-8855 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YP1600X Counselor, Pastoral | |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2024-05-15 |
Last Update Date | 2024-05-15 |