NPI | 1053046151 |
---|---|
Entity Type | Organization |
Authorized Contact | AMBER KRAFT CEO 719-920-8356 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2022-07-21 |
Last Update Date | 2022-07-27 |