Mato Sapa Trails LLC
NPI #1538891817 in Castle Rock, Colorado
Provider Information
- NPI Number
- 1538891817
- Entity Type
- Organization
- Organization Name
- Mato Sapa Trails LLC
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Jun 27, 2022
- Last Updated
- Jun 27, 2022
Practice Location
- Address
- 710 SOUTH ST
- City
- Castle Rock
- State
- Colorado
- ZIP Code
- 80104-2621
- Phone
- (303) 949-1087
Authorized Official
- Name
- JENNIFER ELLIOTT, LPC
- Title
- OWNER
- Phone
- (303) 949-1087
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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