| NPI | 1326089749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM T HODSON Program Director 719-578-9888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2020-08-22 |