| NPI | 1952542037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN BELL Owner 719-329-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 4606) |
| Additional Taxonomies | 251S00000X (Licence: CO 4606) |
| 251S00000X (Licence: CO 2896) | |
| 251S00000X (Licence: CO 4486) | |
| 251S00000X (Licence: CO 2060) | |
| 251S00000X (Licence: CO 11132) | |
| 251S00000X (Licence: CO 6395) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 7403) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 427) | |
| 101YP2500X Counselor, Professional (Licence: CO 11132) | |
| 101YP2500X Counselor, Professional (Licence: CO 2060) | |
| 101YP2500X Counselor, Professional (Licence: CO 4486) | |
| 101YP2500X Counselor, Professional (Licence: CO 6395) | |
| 103T00000X Psychologist (Licence: CO 2896) | |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2016-08-05 |