| NPI | 1326496902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE CHACIN Counselor 719-290-0525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 008888) |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2016-07-08 |