| NPI | 1083429823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE M TOLLE Owner 970-619-1920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-02-10 |
| Last Update Date | 2025-02-10 |