| NPI | 1992255384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MCDONALD Owner 303-506-0074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0002592) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 0005801) |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2016-10-10 |