NPI | 1235542994 |
---|---|
Other Name | ROCKY MOUNTAIN PACE |
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 |