NPI | 1467232660 |
---|---|
Entity Type | Organization |
Authorized Contact | BRANDON ARTHUR PEREA-HICKAM CEO & Founder 720-410-4529 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2023-10-04 |
Last Update Date | 2023-10-04 |