NPI | 1780100537 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARITY GRIMSLEY-HINKLEY Owner/Provider 720-295-4852 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO lpc.0011143) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO acd.0000291) |
Enumeration Date | 2017-08-14 |
Last Update Date | 2018-05-11 |