| NPI | 1629660097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI KUCHARSKI Owner/Operator 719-360-2440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2021-02-08 |
| Last Update Date | 2021-02-08 |