| NPI | 1386372530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKI ANN WORTHAN Owner 303-618-2646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2022-09-19 |