| NPI | 1790266997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE DURST Owner 719-466-1165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0004194) |
| Enumeration Date | 2018-08-25 |
| Last Update Date | 2018-08-25 |