| NPI | 1043286180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY BRUMLEY LEE Executive Director 970-567-0939 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CO 45178) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CO 1531089) |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CO 1534358) | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CO 45179) | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CO 100441) | |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2024-11-09 |