| NPI | 1407125818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA DIANE STINSON Clinical Psychologist/Owner 719-638-1667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 3272) |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2011-12-14 |