| NPI | 1619678919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARINDER KOUR GROVER President 720-999-6115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-03-14 |
| Last Update Date | 2023-09-22 |