| NPI | 1619755170 |
|---|---|
| Former Legal Business Name | PEER SUPPORT & WELLNESS LLC |
| Entity Type | Organization |
| Authorized Contact | ARIANA NICOLE LUCERO Case Manager 303-669-1124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2024-12-24 |