| NPI | 1487496550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID R KOOPMAN Owner 720-989-5909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-06-10 |
| Last Update Date | 2024-10-14 |