| NPI | 1801040696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY MICHAEL PAULIS State Manager 303-919-2266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 1280-00) |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2008-11-06 |