| NPI | 1376110510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORY MCDANIEL Owner/Clinician 720-446-8701 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-06-07 |
| Last Update Date | 2023-03-12 |