| NPI | 1346901659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE KEELING Executive Director 303-231-0090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-01-07 |
| Last Update Date | 2022-01-17 |