| NPI | 1467079053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER KOSLOSKE Counselor/Owner 719-755-2158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2022-09-28 |