| NPI | 1992198105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHYE GENE PEBLEY Owner 719-550-1011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2022-03-28 |