| NPI | 1093088890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW CAPRANELLI Executive Director 719-544-3497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 1623-01) |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2012-02-10 |