| NPI | 1679214936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA M CHAVEZ-SANDOVAL Owner 719-298-8370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-04-01 |
| Last Update Date | 2022-07-13 |