| NPI | 1669181889 |
|---|---|
| Doing Business As | HEARTSPACE KIDS COUNSELING CENTER |
| Entity Type | Organization |
| Authorized Contact | DINA MARK Executive Director 719-358-7437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2022-11-16 |
| Last Update Date | 2022-11-16 |