| NPI | 1245925411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA SILLAS-GREEN Owner/Licensed Professional Counsel 719-580-3079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-04-05 |
| Last Update Date | 2023-04-24 |