| NPI | 1750514980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE MURIEL MUCKLOW Director 303-781-5045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 1560-01) |
| Enumeration Date | 2009-09-04 |
| Last Update Date | 2009-09-04 |