| NPI | 1891132627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM FREDERICK STULTZ Partner 719-546-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 539) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 1407) |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2013-06-03 |