| NPI | 1194111500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGAN YOUNG Owner/Psychotherapist 719-948-7120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CO 1759) |
| Additional Taxonomies | 251S00000X (Licence: CO 6858) |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2018-07-18 |