NPI | 1194997403 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID YINGLING President/Owner 303-757-6019 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC 4200) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 156701) |
Enumeration Date | 2008-03-26 |
Last Update Date | 2021-06-02 |