| NPI | 1578918868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD J ELGERSMA Owner 719-419-7633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 20131134448) |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2016-04-25 |