| NPI | 1912315565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCI LYNN WOJCIK Addiction Counselor 303-885-0099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 0104523) |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2014-07-28 |