| NPI | 1821319112 |
|---|---|
| Doing Business As | EDELEN ENTERPRISES, INC. D/B/A BLUE PINE RECOVERY |
| Entity Type | Organization |
| Authorized Contact | RONNY M. DE CARLO President/Executive Director 720-854-5959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| 251S00000X | |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2020-02-03 |