| NPI | 1225207400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN W. COLVIN Executive Director 719-547-8803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-17-30000) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 34666) |
| 251S00000X (Licence: CO 34666) | |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2018-03-26 |