| NPI | 1982114773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAY KLEIN Therapist 719-203-7442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0013770) |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2017-12-19 |