| NPI | 1932841475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN EVANS Owner/Member Manager 719-510-7056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling |
| Additional Taxonomies | 103TH0004X Psychologist Health |
| 101YM0800X Counselor Mental Health | |
| 103TC0700X Psychologist Clinical | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2022-04-13 |
| Last Update Date | 2022-08-02 |