| NPI | 1295215135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SUMMER Owner 720-295-0089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2018-08-20 |