NPI | 1942002340 |
---|---|
Entity Type | Organization |
Authorized Contact | DUSTIN M HOLCOMB Owner 970-219-9089 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2025-03-26 |
Last Update Date | 2025-03-26 |