| NPI | 1669265211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEBRINA CHIRDON Owner 719-660-5798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 251B00000X Case Management | |
| Enumeration Date | 2025-05-27 |
| Last Update Date | 2025-06-05 |