| NPI | 1811433386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY GUEST Administrative Assistant 303-889-9504 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC MHL-060-1253) |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2017-01-09 |