| NPI | 1659341915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM GLENN BORDELON Gen Partner/Officer 970-261-5498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: LA 1158) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2013-04-03 |