| NPI | 1023350840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE SMITH Director 303-467-2624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD-53) |
| 101YP2500X Counselor, Professional (Licence: CO LPC-2510) | |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2020-07-13 |