| NPI | 1467599506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE GEORGE BUSCARELLO Psychotherapist 719-520-1711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 263) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |