| NPI | 1912261603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW J PETTIT Founder/Director 970-623-4281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 980) |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2015-07-14 |