| NPI | 1902357833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA MEGAN HARLEY Lpcc 719-369-3394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO LPCC.0014878) |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2016-10-14 |