| NPI | 1285347005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINGO CRUZ Founder 303-729-3681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251S00000X | |
| Enumeration Date | 2022-12-27 |
| Last Update Date | 2024-02-28 |