| NPI | 1851015747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA WATLEY Owner 719-371-0851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2022-10-03 |