| NPI | 1134672017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANN URSICH Director/Owner 303-834-9369 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 1771-02) |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2016-08-11 |