| NPI | 1487529178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH MCNEILSMITH Director Of Program Services 719-588-0779 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2025-10-10 |
| Last Update Date | 2025-10-10 |