| NPI | 1710738794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE CHARLENE NORTH Peer Support / Recovery Coach 970-534-4852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0800X Clinic/Center, Recovery Care |
| Enumeration Date | 2024-03-28 |
| Last Update Date | 2024-03-28 |