NPI | 1407539885 |
---|---|
Entity Type | Organization |
Authorized Contact | BRENDA DALEN Owner 719-425-3374 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-08-10 |
Last Update Date | 2024-06-20 |