| NPI | 1295133650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW D VANDYKE President 719-659-6228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 6331) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO 6331) |
| 101YM0800X Counselor, Mental Health (Licence: CO 6331) | |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2014-12-16 |