NPI | 1609419571 |
---|---|
Doing Business As | GLORY MCDANIEL |
Entity Type | Organization |
Authorized Contact | GLORY MCDANIEL Owner/Clinician 720-446-8701 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2019-10-23 |
Last Update Date | 2020-11-03 |