| NPI | 1699096107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERA LYNN SMITH Executive Director/Therapist 719-428-5432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 6223) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health (Licence: CO 4584) | |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2021-08-19 |