| NPI | 1124437538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA J JOHNSON Owner 719-576-1978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 987015) |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2014-08-11 |