| NPI | 1942892344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA CONRRADO Owner 719-432-7910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2021-02-07 |
| Last Update Date | 2021-02-07 |