| NPI | 1679242499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYBETH GREEN Owner, Counselor 970-599-1015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2021-09-07 |