| NPI | 1558805986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEILANI RAY CULLEN President 719-964-0833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 913) |
| Enumeration Date | 2016-12-03 |
| Last Update Date | 2023-01-27 |