| NPI | 1588104525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVIA CICHON Owner 720-722-1825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CO 278) |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2017-02-23 |