| NPI | 1417672155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLENE THERESA SCHAFER Owner 970-893-8851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-10-05 |
| Last Update Date | 2022-10-05 |