| NPI | 1639413248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCIA GUILLEN Executive Director 719-238-8638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CO CSW-991418) |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2020-09-28 |