| NPI | 1952163388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN MONAHAN Business Director 719-792-9431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor Mental Health | |
| 101YP2500X Counselor Professional | |
| Enumeration Date | 2024-01-30 |
| Last Update Date | 2024-07-21 |