| NPI | 1033664131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA VETRANO Counselor 970-817-3514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 0013170) |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2016-09-08 |