| NPI | 1235542994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA HEIMBACK Vice President Of Development 719-466-8777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CO 7454) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2014-06-10 |