NPI | 1346385341 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIE ANNE BRAUKHOFF President 719-635-0204 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 2137) |
Enumeration Date | 2007-02-20 |
Last Update Date | 2022-08-08 |