| NPI | 1104901636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA L BLACK President 303-691-3550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 3184) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 989917) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |