| NPI | 1023026119 |
|---|---|
| Doing Business As | INNER JOURNEY COMMUNITY COUNSELING |
| Entity Type | Organization |
| Authorized Contact | CAROL A MULLIGAN Executive Director 970-242-1433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CO 1521-01) |
| Additional Taxonomies | 302F00000X Exclusive Provider Organization (Licence: CO 3570) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2011-11-09 |