NPI | 1629801360 |
---|---|
Entity Type | Organization |
Authorized Contact | DAWN MUNROE Chief Operating Officer 719-308-5450 |
Organization Subpart ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2024-08-20 |
Last Update Date | 2024-08-20 |