| 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 |