| NPI | 1750702346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL GUTIERREZ Partner 719-660-6292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 3824) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 452) |
| 101YP2500X Counselor, Professional (Licence: CO 13204) | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2013-12-26 |
| Last Update Date | 2017-12-26 |