| NPI | 1639406663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACIE BRYANT President 719-388-0194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFT893) |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2010-04-22 |