| NPI | 1831218957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND JOHN WATSON Owner 9704-950-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 4468) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |