| NPI | 1124872262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE MUNIZ Owner 970-312-4318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2024-04-19 |