| NPI | 1972049328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMRA LEE BOK Owner/Operator 719-283-7990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO LPC.0012459) |
| Enumeration Date | 2017-01-10 |
| Last Update Date | 2024-10-07 |