| NPI | 1962202119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE ALEJANDRO CASTRO Clinical Director 303-667-3154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2025-03-17 |
| Last Update Date | 2025-03-17 |