| NPI | 1023610292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE EDWARD HATCH Owner 970-825-6597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-11-12 |
| Last Update Date | 2024-03-19 |