| NPI | 1588166144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA KAY YATES Executive Director 719-452-4803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 11420) |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2023-07-05 |