NPI | 1649987744 |
---|---|
Entity Type | Organization |
Authorized Contact | LARRY JAY ALWINE Owner 719-415-3510 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2022-10-31 |
Last Update Date | 2023-05-10 |