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 |