NPI | 1093566853 |
---|---|
Entity Type | Organization |
Authorized Contact | NAKEESHA DUNEMAN Owner 970-397-2149 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2024-03-29 |
Last Update Date | 2024-08-05 |