| NPI | 1487478285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMOND DOTSON Billing Manager 970-576-1717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-11-09 |
| Last Update Date | 2024-11-09 |