| NPI | 1770316416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH FARRIS Owner 719-308-5450 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-08-20 |
| Last Update Date | 2025-05-01 |