| NPI | 1487113221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERILYN L YINGLING Owner 719-686-6703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2023-06-15 |