| NPI | 1316334808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD GODWIN Office Manager 720-934-1302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 0004599) |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2015-04-22 |