| NPI | 1639670953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN MARIE LEWIS Owner/Clinical Director 719-447-0370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2018-06-01 |