| NPI | 1679330757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE ALEJANDRO CASTRO Clinical Director 303-667-3154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-03-05 |
| Last Update Date | 2024-12-19 |