| NPI | 1952790636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA E REGALADO Owner 970-545-0402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFT0001148) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD0000277) |
| Enumeration Date | 2015-01-18 |
| Last Update Date | 2015-01-18 |