NPI | 1962037168 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES ANTHONY RUCKER Partner 720-504-5585 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YP2500X Counselor, Professional | |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2020-03-08 |
Last Update Date | 2023-11-01 |