| NPI | 1366154221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSANNA PRENSNER Owner 719-238-1571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2022-12-21 |
| Last Update Date | 2022-12-21 |