| NPI | 1013338359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACI SCHRADE Finance Director 970-522-7121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| 225C00000X Rehabilitation Counselor | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2016-08-08 |