| NPI | 1861999500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK MATTHEW MILLER CEO/Lead Counselor 720-266-0489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0000935) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0014527) |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2018-04-10 |