| NPI | 1811340912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M. MICHAELS President/Owner 970-416-9595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2016-07-13 |