| NPI | 1275122756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTOFFER LOREN BOWMAN Founder/Mental Health Counselor 719-344-5378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-01-11 |
| Last Update Date | 2024-03-25 |