| NPI | 1043455769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE DARR Director 719-471-2514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 1110-01) |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2016-09-28 |