| NPI | 1003871328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY A HAWPE President 719-227-7745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 242) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2020-08-22 |