NPI | 1659534816 |
---|---|
Entity Type | Organization |
Authorized Contact | WAYNE PATTILLO Clinical Director 719-264-0662 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 690) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO 691) |
Enumeration Date | 2008-07-08 |
Last Update Date | 2008-07-08 |