| NPI | 1740062967 |
|---|---|
| Doing Business As | BROADMOOR BLUFFS COUNSELING |
| Entity Type | Organization |
| Authorized Contact | JOSHUA AEVUM Therapist Social Worker 719-425-5026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-10-23 |
| Last Update Date | 2023-10-23 |