| NPI | 1366216970 |
|---|---|
| Doing Business As | ROCKY MOUNTAIN SOBER LIVING LLC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL FRANK MATTICE Owner Operator 719-357-6529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine |
| Enumeration Date | 2023-11-14 |
| Last Update Date | 2023-11-14 |