NPI | 1073003935 |
---|---|
Entity Type | Organization |
Authorized Contact | CYNTHIA M DAVIS Owner 720-841-5789 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0013130) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0000530) |
Enumeration Date | 2018-05-16 |
Last Update Date | 2024-03-22 |