| NPI | 1891200416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY INMAN Clinical Psychologist 719-650-8559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2017-12-05 |