| NPI | 1922491497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA K KNAUB Owner 303-274-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 155201) |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2023-04-24 |