| NPI | 1780055574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCHEILA WATSON Executive Director 719-650-8114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2017-01-13 |