| NPI | 1093538837 |
|---|---|
| Doing Business As | GRAND JUNCTION INTEGRATIVE ADDICTION MEDICINE CLINIC |
| Entity Type | Organization |
| Authorized Contact | JON MCDANIEL VP Finance 303-272-0231 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-10-31 |
| Last Update Date | 2024-10-31 |