| NPI | 1003529728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STRYDER RIVER REILLY Nurse Practitioner 970-644-1279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-12-27 |
| Last Update Date | 2023-09-06 |