| NPI | 1265845630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA LOYA Director 303-287-4106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 1611-01) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2014-06-03 |