| NPI | 1972236016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVAN ENGLE-NEWMAN Licensed Clinical Professional Coun 719-510-2448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-07-06 |
| Last Update Date | 2022-07-06 |