| NPI | 1598052284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY SUE NEUSEL Director 303-322-9270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 991310) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 3688) |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2011-07-01 |