| NPI | 1013165281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROYAL W RALL Director/Owner 719-520-9220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 1594-01) |
| Enumeration Date | 2008-08-30 |
| Last Update Date | 2008-08-30 |