| NPI | 1093149809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISELDA MATA Owner 720-810-4063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2023-10-11 |