| NPI | 1548551542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE MARIE SORDEN Owner 719-351-3155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO lpc-4835) |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2021-07-28 |