| NPI | 1255921995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIVE RUSSELL HALLAM Chief Executive Officer 719-404-6618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2021-01-26 |
| Last Update Date | 2025-11-12 |