| NPI | 1699228528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGIE JONES-DUDLEY Owner 719-473-1805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: CO 6148) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: CO 6148) |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2016-07-27 |