| NPI | 1033657176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRAINE K. BOCKMAN Owner 303-946-2358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 991984) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 173) |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2021-06-17 |