| NPI | 1972929420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER J CONWAY Owner 303-669-0178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2014-03-07 |
| Last Update Date | 2022-09-19 |