| NPI | 1760244891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY KREUZBERGER Owner 720-593-0887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-01-24 |
| Last Update Date | 2025-03-12 |