| NPI | 1427466275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER J CONWAY Owner 303-975-1922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 1702 01) |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2014-07-24 |