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 |