| NPI | 1447519053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGIE R. JONES-DUDLEY Owner/Driector 719-473-1805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: 6148) |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2012-05-16 |