| NPI | 1386485761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER DIANE BROOKE Owner 719-480-1525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 1041C0700X Social Worker, Clinical | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2024-06-01 |
| Last Update Date | 2024-06-01 |