NPI | 1023729761 |
---|---|
Entity Type | Organization |
Authorized Contact | KELLY KREUZBERGER Owner 719-231-6427 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2022-12-13 |
Last Update Date | 2023-09-04 |