| NPI | 1528334562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSTIN MATTHEW HOLCOMB President 970-219-9089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-11-8400) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0006444) |
| 106H00000X Marriage & Family Therapist (Licence: CO MFT.0000969) | |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2021-09-20 |