| NPI | 1750950515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANNA LEE GILMORE Owner 303-253-5770 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2021-06-24 |