NPI | 1245010404 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURA E OLSON Owner 719-651-8928 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2023-10-04 |
Last Update Date | 2023-10-06 |