| NPI | 1821598301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET LYNN RUIZ-BAILEY Owner 719-334-0269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2018-05-11 |