| NPI | 1043524267 |
|---|---|
| Doing Business As | WESTERN MOUNTAIN YOUTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | LUIS ANTONIO ALVAREZ Director 719-852-9697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CO 1593695) |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2010-07-29 |