| NPI | 1023763778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANELLE DUHON Executive Director 970-379-0955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2022-02-21 |
| Last Update Date | 2022-02-21 |