| NPI | 1437666096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY LONG Owner/Therapist 719-629-8574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0012243) |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2018-01-04 |