| NPI | 1841059664 |
|---|---|
| Former Legal Business Name | THE EXECUTIVE NETWORK |
| Entity Type | Organization |
| Authorized Contact | DEREK KUYKENDALL Executive Director 303-860-8484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-03-14 |
| Last Update Date | 2024-03-14 |