| NPI | 1902109499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER NICOLE FOSTER Therapist 719-393-2632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 4753) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO 4753) |
| 101YP2500X Counselor, Professional (Licence: CO 4753) | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2010-12-06 |