| NPI | 1629692058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN MANN Owner 719-329-4718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2020-08-24 |