| NPI | 1588081251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANNA LYNN SANDOVAL Owner/Director 303-359-1352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 3395) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 4678) |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2020-02-27 |