| NPI | 1508906553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY S. ANDERSON President 719-475-0292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 9892353189) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |