| NPI | 1043919954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEROY MATTICKS CEO 720-513-5092 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2023-02-28 |
| Last Update Date | 2023-02-28 |