| NPI | 1528785979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANETTE LOUISE KINTZ Owner 970-389-8969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-10-26 |
| Last Update Date | 2022-10-26 |