| NPI | 1952135238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN THEODORATOS Owner 720-957-7964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-08-28 |
| Last Update Date | 2024-08-28 |