| NPI | 1194366153 |
|---|---|
| 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 |