| NPI | 1962139022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTOFFER LOREN BOWMAN CEO/Lpc 719-344-5378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 103TF0000X Psychologist, Family | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 225700000X Massage Therapist | |
| 225XM0800X Occupational Therapist, Mental Health | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) | |
| 163WN1003X Registered Nurse, Nutrition Support | |
| 171400000X Health & Wellness Coach | |
| 171M00000X Case Manager/Care Coordinator | |
| 207QA0401X Family Medicine, Addiction Medicine | |
| 225200000X Physical Therapy Assistant | |
| Enumeration Date | 2022-08-08 |
| Last Update Date | 2022-08-08 |