| NPI | 1417405598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP MAES President 719-530-1224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 355) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO 350) |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2016-09-16 |