| NPI | 1396581088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KURTIS JAMES RIVERA Therapist & Clinical Director 719-299-0824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2024-07-02 |
| Last Update Date | 2025-09-21 |