| NPI | 1700245578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN SAMPLE CEO 303-523-8057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2025-11-14 |