| NPI | 1043456676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN MARIE LEWIS Agency Owner 719-447-0370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 6293) |
| 101YP2500X Counselor, Professional (Licence: CO 4514) | |
| 101YP2500X Counselor, Professional (Licence: CO 3663) | |
| Enumeration Date | 2009-01-03 |
| Last Update Date | 2013-04-03 |