| NPI | 1053472480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS WILLIAM ELSEY Owner President 719-749-0387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-08-22 |