| NPI | 1992939276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY LINDHOLM Program Manager 303-638-4372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CO 1650-00) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO 3102) |
| 101YP2500X Counselor Professional (Licence: CO 3102) | |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2025-09-02 |