| NPI | 1639693450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE SHERRON Mental Health Counselor 719-395-9454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 3804) |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2017-08-02 |