| NPI | 1669824512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANETTE BARICH Owner 303-507-5825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0000497) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924397) |
| Enumeration Date | 2016-07-04 |
| Last Update Date | 2016-07-04 |