| NPI | 1083575435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMAR LIDA TEHRANI Owner 720-629-3855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2025-11-24 |
| Last Update Date | 2025-11-24 |