| NPI | 1760200505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN LUTTMAN Owner 719-345-2424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 106H00000X Marriage & Family Therapist | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2024-10-01 |
| Last Update Date | 2024-10-01 |