| NPI | 1477263572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA L OLGUIN Owner 720-515-6385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-11-29 |
| Last Update Date | 2023-03-30 |