| NPI | 1588372999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASH JACKSON STONE Counselor/Owner 719-200-5765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2022-11-14 |