| NPI | 1609224690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMY DE HERRERA Owner 303-772-3853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 178800) |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2016-05-31 |