| NPI | 1760607436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDACE JEAN HEMBREE Owner 719-520-9425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 3936) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2020-08-22 |