| NPI | 1699100222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE MARIA MCGUIRE Clinical Psychologist 719-229-1172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CO 3605) |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2013-09-16 |