| NPI | 1710433735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY MACLEAN Owner 719-260-6262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0001015) |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2016-08-30 |