| NPI | 1447389382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES STEPHEN DARR Executive Director 719-471-2514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 1110-00) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2016-09-29 |