| NPI | 1427790583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA EMILY LAWRANCE MUGGLI Owner 719-582-8482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2022-04-10 |
| Last Update Date | 2024-08-23 |