| NPI | 1396268132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA OLSON Managing Member 719-651-8928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2022-07-21 |