| NPI | 1174127922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOIS J SANDLAND Owner 719-232-0975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-11-23 |
| Last Update Date | 2020-12-21 |