| NPI | 1144616822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE A RINK Owner 970-312-4356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 4648) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 6522) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2015-04-09 |