| NPI | 1972251866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LELIETH THOMPSON Licensed Clinical Psychologist 719-257-3323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-03-10 |
| Last Update Date | 2022-03-10 |