| NPI | 1255039632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY LAUREN FOY Licensed Professional Counselor 719-425-9395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-02-15 |
| Last Update Date | 2024-02-01 |