| NPI | 1609514983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW DREESEN Authorized Official 719-486-7161 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-05-25 |
| Last Update Date | 2024-08-27 |