| NPI | 1568846814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK AARON MAYFIELD Owner And Clinical Supervisor 719-439-8014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0011420) |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2015-07-16 |