| NPI | 1578230405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY ROGERS Owner And Founder 719-432-9222 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC1900X Psychologist, Counseling | |
| Enumeration Date | 2021-08-27 |
| Last Update Date | 2021-08-27 |