| NPI | 1538999826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM EDWARD WIMSATT Owner 970-241-2948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-08-02 |
| Last Update Date | 2024-08-02 |