| NPI | 1437580156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA PAULISON Owner 970-308-4552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 7223) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 15) |
| 101YM0800X Counselor, Mental Health (Licence: CO 4420) | |
| Enumeration Date | 2013-12-05 |
| Last Update Date | 2013-12-05 |