| NPI | 1154092773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD EUGENE BENHAM Owner 303-352-1975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2021-09-23 |
| Last Update Date | 2021-09-23 |