NPI | 1629343413 |
---|---|
Doing Business As | LIFE RECOVERY CENTER |
Entity Type | Organization |
Authorized Contact | JAMES EDWARD MONAGHAN Founder/Lead Clinician 303-252-4179 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO #LPC-6108) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO #ACD-226) |
Enumeration Date | 2012-03-13 |
Last Update Date | 2012-03-13 |