NPI | 1184335150 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIC LANGE Co Executive Director 719-471-0642 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2022-12-09 |
Last Update Date | 2022-12-09 |