NPI | 1346057783 |
---|---|
Former Legal Business Name | MAXWELL VAGN TUREK |
Entity Type | Organization |
Authorized Contact | MAXWELL VAGN TUREK Owner 970-458-5138 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2024-12-17 |
Last Update Date | 2025-07-24 |