| NPI | 1720958085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE BLEAU Owner 720-310-8731 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2025-11-10 |
| Last Update Date | 2025-11-10 |