| NPI | 1023613585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRI DAVIDSON Finance Director 970-522-4549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2021-07-15 |