| NPI | 1285053280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY MESIAS Therapist 719-232-0642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO mft0001117) |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2014-04-08 |