| NPI | 1932624251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMMY BISHOP Clinical Director 303-284-2780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 1838-00) |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2022-07-21 |