| NPI | 1578722328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN KIRKWOOD Cto 303-999-2346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CO 1136-00) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO 0327) |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2014-12-10 |