| NPI | 1316573991 |
|---|---|
| Doing Business As | KYRA LOGSDON |
| Entity Type | Organization |
| Authorized Contact | KYRA LOGSDON Owner 970-208-2682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-03-16 |
| Last Update Date | 2020-06-22 |