| NPI | 1225317514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA POWELL KIRTLEY Mental Health Therapist 719-229-9811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 5061) |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2011-08-04 |