| 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 | 2024-06-26 |