| NPI | 1003563107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANELLE DUHON Executive Director 970-368-6502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2022-03-08 |
| Last Update Date | 2022-03-08 |