| NPI | 1043649429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELODIE K MACK Owner, Counselor 719-434-1088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 1069) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 6389) |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2013-11-05 |