| NPI | 1770459513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TALETHA SENECAL Director 719-431-9831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 104100000X Social Worker |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2025-10-16 |
| Last Update Date | 2025-11-05 |