| NPI | 1194473819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY KREUZBERGER Owner/Counselor 719-231-6427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2022-03-11 |
| Last Update Date | 2022-05-31 |