| NPI | 1215088901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD R BAPTIST President 719-477-0203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 1726) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2022-06-06 |