NPI | 1427449164 |
---|---|
Entity Type | Organization |
Authorized Contact | MELISSA PARKOWSKI-HELMER Owner 719-635-1332 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 251S00000X (Licence: CO Colo LPC 36) |
251S00000X (Licence: CO Colo LPC 2726) | |
251S00000X (Licence: CO Colo LPC 12318) | |
Enumeration Date | 2015-02-17 |
Last Update Date | 2021-04-16 |