| NPI | 1700280310 |
|---|---|
| Doing Business As | ACTIVE COUNSELING |
| Entity Type | Organization |
| Authorized Contact | JEREMY WAYNE BROOKS Owner 970-356-3887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: CO 174701) |
| Enumeration Date | 2014-10-11 |
| Last Update Date | 2014-10-11 |