NPI | 1194366153 |
---|---|
Doing Business As | R.H.E.O.T.O |
Entity Type | Organization |
Authorized Contact | JOHN YUMA BRANNON Lead Clinician 719-999-5054 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2019-10-01 |
Last Update Date | 2019-10-01 |