NPI | 1679251136 |
---|---|
Entity Type | Organization |
Authorized Contact | AMBER N DUGGER Owner 719-377-6192 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
261QM0855X Clinic/Center Adolescent and Children Mental Health | |
Enumeration Date | 2023-07-06 |
Last Update Date | 2025-06-30 |