NPI | 1033000393 |
---|---|
Entity Type | Organization |
Authorized Contact | CASEY ARMIGER Owner 970-590-2432 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2025-07-14 |
Last Update Date | 2025-07-31 |