| NPI | 1043923048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN JOHNSON Owner 970-988-4131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-01-04 |
| Last Update Date | 2023-01-04 |