| NPI | 1447677042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY MITCHELL Owner 720-733-8886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 161201) |
| Enumeration Date | 2014-03-21 |
| Last Update Date | 2025-10-31 |