| NPI | 1720704497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MEDRANO Owner 719-582-4174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2022-10-14 |
| Last Update Date | 2022-10-14 |