NPI | 1669110557 |
---|---|
Entity Type | Organization |
Authorized Contact | HALEY WISE Licensed Professional Counselor, Ow 719-357-7504 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2022-05-22 |
Last Update Date | 2023-11-06 |