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 |