| NPI | 1215442868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA MARIE SALVATIERRA Owner/Counselor 719-646-9259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.00001771) |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2017-12-05 |