| NPI | 1861856882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESITA MARIE TIRONA Owner 719-761-1655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 4470) |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2016-04-06 |