| NPI | 1417240680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT NEIL GLIDEWELL President 719-497-4143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CO 3157) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CO 5575) |
| Enumeration Date | 2011-05-22 |
| Last Update Date | 2011-05-22 |