| NPI | 1639667652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY LEE PHILLIPS Owner 719-440-5475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CO LPC.0006480) |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2018-04-25 |