| NPI | 1427936798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURYN C SHANNON Owner Therapist 719-663-5003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2025-08-25 |
| Last Update Date | 2025-08-25 |