| NPI | 1992035547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANFORD SCOTT SUTHERLAND Co Director 719-477-3758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 4879) |
| Enumeration Date | 2010-01-05 |
| Last Update Date | 2010-05-06 |