| NPI | 1538612213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE L DANIELS Single Member 719-393-5119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0001281) |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2016-07-28 |