| NPI | 1023075827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEELAN DIANE BANTA Director 970-878-9525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: CO 45560) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2020-08-22 |