| NPI | 1528923612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIARA MCCRAY Licensed Clinical Social Worker 719-781-8994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-12-19 |
| Last Update Date | 2025-12-19 |