| NPI | 1619765682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN BRAUSAM Owner 719-347-4520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2025-04-29 |
| Last Update Date | 2025-04-29 |