| NPI | 1619405685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE ERIN MARTINEZ Owner 719-241-3057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC0012428) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2022-07-21 |