| NPI | 1558512749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN J DEKEYSER Owner 970-426-1514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 176205) |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2008-10-06 |