| NPI | 1952774804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDEEP SHANKAR Executive Director 720-212-6504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACB0007978) |
| Enumeration Date | 2015-10-31 |
| Last Update Date | 2015-10-31 |