| NPI | 1891246781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE HARRIS President & Clinical Director 719-207-4163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACB0007993) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |