| NPI | 1043707722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY POTTORFF Executive Director 970-347-2373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CO 150368) |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2020-07-13 |