NPI | 1336627595 |
---|---|
Doing Business As | BROADMOOR COUNSELING |
Entity Type | Organization |
Authorized Contact | ZAENA D ISAAC Director 719-460-0230 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 12301) |
Enumeration Date | 2018-07-31 |
Last Update Date | 2024-01-19 |