| NPI | 1285186569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL C BABCOCK Owner 719-247-1350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0012310) |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2016-11-02 |