| NPI | 1649660184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODY L PENDLETON Licensed Professional Counselor 719-251-0773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 2859) |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2015-02-04 |